Claim Examiner

Walkin on 7th Oct to 11th Oct

Company

Calibrated Healthcare Systems India Pvt. Ltd

Qualification

Graduate
Graduate

Salary

1,00,000 - 2,25,000 PA.

Experience

1 to 2 yrs.
1,00,000 - 2,25,000 PA.

No of Openings

30

Work Location

Gurgaon

Job Duties and Base Skill-set:

Responsible for processing CMS 1500 claims for all Lines of Business and specialty types of care.

Operations

Responsible for maintaining all departmental policies and procedures, ensuring that they are followed and ensure they are followed when carrying out day- to-day operations.
Understand how to track production, error trending, follow workflow procedures and respond to corrective-actions on personal performance.
Receive direction and training on extensive claim research, claim development, claim problem analysis, and claim payments.
Participate with team on a regular basis to ensure all members within the teams are working appropriately and operating to achieve efficient productivity.
Possesses a thorough understanding of team environment and can work and support a group consensus when decisions are made.
Collaborates and supports managers to enhance technology and service delivery to include analyzing, proposing, testing, implementing, training, maintaining and monitoring in order to continuously improve customer satisfaction levels, operational effectiveness and cost efficiencies

Education and Experience

Bachelor's Degree in Business Administration, Health Care or another related field
Minimum 1+ years of experience in US Healthcare that directly aligns with the specific responsibilities for this position (Claims adjudication) and 2+ years experience in Medical Billing. Well-versed with HMO Plans & PPO Plans
Strong communication skills (verbal and written), and technical skills in Microsoft office to include Excel, Imaging Systems.
Must have a thorough understanding of claims operations, including, but not limited to, prior roles as adjuster/examiner, claims operations, or equivalent. Ability to understand provider contracts. Thorough knowledge of HIPAA.
Demonstrated ability to function effectively as a team-player, and able to work independently.
Proven time management skills; must be resourceful in developing alternative solutions and meeting deadlines in a real time, fast paced environment.
Typing speed Should be minimum 30 wpm, must be presentable.

Address

  • Time: From 8:30am-2pm
  • Venue: Calibrated Healthcare Network | 516, Udyog Vihar, Phase III | Gurgaon | India 122015

Contact

  • Telephone: (+91) 0124 4171500 | Ext 105
blog comments powered by Disqus